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Studi Fenomenologi: Mekanisme Koping Perempuan yang Belum Mempunyai Keturunan Ditinjau dari Aspek Budaya Minangkabau Rahmaniza Rahmaniza; Ni Made Riasmini; Netrida Netrida
Jurnal Keperawatan Indonesia Vol 22, No 3 (2019): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v22i3.845

Abstract

Phenomenology Study: Coping Mechanism of Women No Heredity Viewed by Minangkabau Culture. The Minangkabau tribe adheres to the matrilineal kinship system. Based on this system, when a woman suffers infertility, so it means the family has not the next generation, and the line of descent will cut off. This condition makes the women need to have a coping mechanism to avoid psychology problems, including depression, anxiety, stress, neglected, discrimination, under pressure to divorce, and perceive abused. The study aimed to explore the coping mechanism of infertility women in the context of Minangkabau culture. This phenomenology study applied an in-depth interview, which involved ten women who were selected through a snowball sampling technique. Collaizi’s analysis method resulted in six themes. Those themes are through psychological and social change, obtain a response from others, the views of Minangkabau culture, adaptive coping used by women no heredity, the families were main source support, community social support. The findings strengthen the justification to involve psycho-social aspects in the infertility treatment.Keywords: Coping mechanism, infertile women, Minangkabau culture Abstrak Suku Minangkabau menganut sistem kekerabatan matrilineal. Berdasarkan sistem ini, ketika seorang wanita menderita kemandulan, itu berarti keluarga tidak memiliki generasi berikutnya, dan garis keturunan akan terputus. Kondisi ini membuat perempuan perlu memiliki mekanisme koping untuk menghindari masalah psikologi, termasuk depresi, kecemasan, stres, diabaikan, diskriminasi, di bawah tekanan untuk bercerai, dan juga merasa dilecehkan. Penelitian ini bertujuan untuk mengeksplorasi mekanisme koping wanita infertilitas dalam konteks budaya Minangkabau. Studi fenomenologi ini menerapkan wawancara mendalam yang melibatkan sepuluh wanita yang dipilih melalui teknik pengambilan sampel bola salju. Melalui metode analisis dari Collaizi, menghasilkan enam tema. Tema-tema tersebut termasuk Mengalami perubahan psikologis dan perubahan sosial, mendapat  respon dari orang sekitarnya, pandangan budaya Minangkabau, koping adaptif yang digunakan oleh perempuan belum mempunyai keturunan, keluarga menjadi sumber dukungan utama, dukungan sosial dari masyarakat. Temuan ini memperkuat pembenaran untuk melibatkan aspek psiko-sosial dalam pengobatan infertilitas. Kata kunci: Budaya Mingkabau, mekanisme koping, perempuan infertile
Beban Keluarga Merawat Lansia Dapat Memicu Tindakan Kekerasan dan Penelantaran Terhadap Lansia R. Siti Maryam; Rosidawati Rosidawati; Ni Made Riasmini; Eros Siti Suryati
Jurnal Keperawatan Indonesia Vol 15 No 3 (2012): November
Publisher : Fakultas Ilmu Keperawatan Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v15i3.2

Abstract

AbstrakMemberikan perawatan pada lansia dengan penyakit kronis menimbulkan perasaan strain atau burden (beban) pada caregiver(pengasuh) yang dapat mempengaruhi kualitas hidup keluarga. Penelitian ini bertujuan untuk mendapatkan gambaran tentangfaktor-faktor yang berhubungan dengan beban keluarga merawat lansia. Jenis penelitian ini adalah deskriptif korelasi denganpendekatan cross sectional menggunakan uji regresi logistik ganda. Sampel berjumlah 205 responden dengan pengambilansampel secara gugus bertahap. Hasil penelitian menunjukkan hubungan bermakna antara usia keluarga (p= 0,052; α= 0,05),status kesehatan (p= 0,018; α= 0,05 ), pengetahuan (p= 0,046; α= 0,05), dan kepuasan (p= 0,033; α= 0,05) dengan bebanmerawat lansia. Faktor yang paling berkontribusi terhadap beban merawat adalah status kesehatan keluarga (OR= 2,632).Rekomendasi hasil penelitian yaitu gambaran tentang tingkat beban yang dialami keluarga dalam merawat lansia dapat dijadikansebagai masukan untuk mengembangkan program pemberdayaan keluarga serta program promosi kesehatan untuk mengurangibeban merawat yang pada akhirnya dapat mengurangi tindakan kekerasan dan penelantaran.Kata kunci: beban merawat, lansia, pemberdayaan keluarga, penelantaran, pengasuh AbstractProvide care to the elderly with chronic diseases induce a feeling of strain or burden on the caregiver that can affect on thequality of family life. This study aims to know the factors associated with caregiver burden for the elderly. This research is anobservational research with cross-sectional approach using multiple logistic regression test. Total sample is 205 respondentswhich is taken by cluster multistage sampling. Significant relationship was found in the age (p= 0.052; α= 0.05) the healthstatus (p= 0.018; α= 0.05), knowledge (p= 0.046; α= 0.05), and satisfaction (p= 0.033; α=0.05) of family with the burden ofcare. The factors that most contribute to caregiver burden is the family health status (OR= 2.632). A picture of the level burdenexperienced by families in caring for the elderly can be used as an input to develop a family empowerment and health promotionprograms to reduce caregiver burden and may reduce violence and negligence.Keywords: burden, caregiver, elderly, family empowerment, negligence
Efektivitas Model Praktik Kolaborasi Interprofesional (PKIP) Tenaga Kesehatan Terhadap Kinerja Pelayanan Kesehatan Rumah Prayetni Prayetni; Ni Made Riasmini; Bondan Palestin; Tri Prabowo
Jurnal Keperawatan Vol 3 No 1 (2018)
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (196.18 KB) | DOI: 10.32668/jkep.v3i1.198

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Primary health care is an essential service that can be accepted by individuals, families in the community. Family health services face clients with actual, potential or potential health problems that are complex using biopsikososiospiritual Cooperation between health workers is needed so that the health services provided are effective and efficient. This research is operational research with qualitative and quantitative methods. Qualitative research uses descriptive design and quantitative research using Cross Sectional design. This study was designed to develop a model / form of interprofessional cooperation practice of health workers that is validated through statistical tests. The research will be carried out by two people, the first model develops and the two effective models of PKIP on the performance of health services and the quality of services to clients. The research sample used in the quantitative research was purposive sampling with a total of 155 people. To test the model using a structured equation model test (SEM). The results of the study showed all variables of Recognition among Professionals of Health Workers, Self-Confidence, Role of Health Responsibility, Leadership, Communication, Team Work, forming PKIP models that were in accordance with the influence, and connecting to the performance of home health services.
Effect of Family Support Intervention towards Quality of Life with Elderly’s Hypertension in Community Raden Siti Maryam; Yeti Resnayati; Ni Made Riasmini; Citra Windani Mambang Sari
Jurnal Keperawatan Padjadjaran Vol. 6 No. 3 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1607.663 KB) | DOI: 10.24198/jkp.v6i3.670

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The quality of life of the elderly is influenced by physical, psychological, social and environmental factors. These four factors desperately need family support as a support system for the elderly. This study aims to determine the effect of family support intervention on the quality of life of elderly hypertension in Community Area Cipayung Puskesmas East Jakarta. The research method used quasi-experiment with control group design. The sampling strategy used multistage random sampling with 30 samples for the intervention group and 30 for the control group. This study were implemented during four weeks. Statistical test using dependent t-test and independent t-test. There was a significant difference in the mean elderly quality of life with hypertension after the intervention of family support program in the intervention group compared with the control group (M= 93.67 ± 6.08, p-value 0.012). In conclusion, this study showed that there were differences in mean older people quality of life with hypertension in the intervention group compared with the control group after the intervention of family support program. The resulting family support interventions can serve as the foundation for policy and health service providers in order to implement various interventions related to family empowerment to improve the quality of life older people with hypertension in the community.
The Predictors of Caregiver’s Burden and Depression Level in Caring Elderly People with Dementia at Community Yossie Susanti Eka Putri; Ni Made Riasmini
Jurnal Ners Vol. 8 No. 1 (2013): April 2013
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (264.991 KB) | DOI: 10.20473/jn.v8i1.3882

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Introduction: Most older people with dementia in Indonesia stay at home, cared by family members. Family caregivers even experience physical, psychological, social, and fi nancial problems. Care giving demands often lead to caregiver burden and depression. The objective of this study was to determine factors which contribute burden and depression experienced by the caregivers of older people with dementia.Method: Design was descriptive analytic with cross sectional approach. The population were caregivers living with older people with dementia. Sample size were 183 respondents. The independent variables were caregiver’s contextual factors, stressor caregiving, and intervening factor. The dependent variables were the burden of care and level of caregivers’ depression. Data were collected using questionnaire. Data were analyzed using linier regresion.Results: Statistical analyses showed marital status was significantly related to caregivers’ burden. While worked, education, and relationships with older people were significantly related with caregivers’ depression level. Memory and behavior problem, the task of caring and satisfaction of caring were related with caregivers’ burden and depression level. Multivariate analyses show health status was the most factors related to caregivers’ depression level. Memory and behavior problems was main factor related to caregivers’ burden of caring for older people with dementia.Conclusion: The results are expected to provide information about the extent of caregivers’ burden and depression which experienced in care giving, therefore the services can be designed based on the needs of the caregivers of persons with dementia in the community.
Family Experience in Handling the Elderly in Cultural Aspects of Indonesia Ni Made Riasmini; Junaiti Sahar; Yeti Resnayati
Jurnal Ners Vol. 8 No. 1 (2013): April 2013
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (250.721 KB) | DOI: 10.20473/jn.v8i1.3884

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Introduction: Extended family culture still exists in Indonesia, and this makes it possible for an elderly person to live with a family. In Indonesia, generally an elderly person is highly respected. This research is meant to gain a picture of an experience that a family has in taking care of an elderly person from the aspect of Indonesian culture.Methods: The design implemented is descriptive phenomenology. The participant is the main caregiver taking care of 10 elderly people. The data is analyzed using Collaizi technique.Result: This research have been identi fi ed 4 themes i.e. 1) the reason for doing it is to fulfi ll the tasks as a member of a family, to reciprocate, to have satisfaction, but for the main caregiver it is just because of closeness and pity, 2) the burden of caring is physical, psychological, social and fi nancial, 3) the perception about culture value is the position and role of the elderly person in the family, and 4) the support or encouragement is obtained from the family and the community.Conclusion: The conclusion is that a family as the main supporting system for the elderly people possesses big responsibility in caring the elderly in accordance with the value of culture in Indonesia. The results of the research are expected to give information about the need of a family as the caregiver in caring the elderly so that a proper intervention form of family enforcement according to the Indonesian culture can be designed.
PENINGKATAN STATUS KESEHATAN LANSIA DENGAN HIPERTENSI MELALUI MODEL CONTINUITY OF CARE BERBASIS PEMBERDAYAAN KADER DAN LANSIA : IMPROVED HEALTH STATUS AMONG ELDERLY WITH HYPERTENSION THROUGH CONTINUITY OF CARE MODEL BASED ON THE EMPOWERMENT OF CADRES AND THE ELDERLY Ni Made Riasmini
Quality : Jurnal Kesehatan Vol. 15 No. 2 (2021): Quality : Jurnal Kesehatan
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (611.117 KB) | DOI: 10.36082/qjk.v15i2.305

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Perawatan berkelanjutan (continuity of care) pada lansia merupakan salah satu strategi kesehatan yang efektif agar kader lansia mampu membantu lansia dalam mengatasi masalahnya. Perawatan berkelanjutan pada lansia dapat dilakukan melalui pelayanan di masyarakat dengan keterlibatan kader lansia serta memberdayakan potensi lansia, yang nantinya diharapkan mampu meningkatkan status kesehatan lansia dengan hipertensi. Penelitian ini bertujuan untuk mengetahui pengaruh  model continuity of care (CoC) berbasis pemberdayaan kader dan lansia terhadap status kesehatan lansia dengan hipertensi di Wilayah DKI Jakarta. Desain penelitian menggunakan quasi experiment with control group design dengan jumlah sampel sebesar 62 lansia yang tinggal di wilayah DKI Jakarta. Analisis data menggunakan uji t-test, uji chi-square dan Regresi Logistik Ganda. Hasil penelitian menunjukkan ada  perbedaan bermakna status kesehatan lansia sebelum dan sesudah penerapan model pada kelompok intervensi (p value=0.001). Demikian juga ditemukan perbedaan bermakna status kesehatan lansia sesudah penerapan model antara  kelompok intervensi dan kontrol (p value=0.001). Rekomendasi: agar intervensi model CoC  berbasis pemberdayaan kader dan lansia dapat dijadikan sebagai salah satu intervensi pendampingan lansia yang bisa diterapkan di tatanan komunitas.
Karakteristik, Tingkat Depresi dan Faktor Lingkungan Fisik Dengan Kualitas Tidur Lansia yang Tinggal di PSTW Prov Sumbar Tomi Jepisa; Ni Made Riasmini; Guslinda Guslinda
JIK-JURNAL ILMU KESEHATAN Vol 4, No 2 (2020): JIK-Oktober Volume 4 Nomor 2 Tahun 2020
Publisher : STIKes ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v4i2.326

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Penurunan kualitas tidur pada lansia dapat menyebabkan penuruanan kesejahteraan, kinerja, dan meningkatkan risiko kecelakaan pada lansia. Kualitas tidur ini dipengaruhui oleh beberapa faktor diantaranya karakteristik lansia, tingkat depresi dan faktor lingkungan fisik. Penelitian ini adalah deskriptif korelasi menggunakan desain cross sectional yang bertujuan untuk memperoleh gambaran tentang hubungan karakteristik, tingkat depresi dan faktor lingkungan fisik dengan kualitas tidur lansia yang tinggal di PSTW Provinsi Sumatra Barat. Sampel yang diteliti sebanyak 96 orang lansia yang mengalami depresi. Penelitian dilakukan pada bulan Juli sampai bulan Agustus 2015. Hasil penelitian menggambarkan karakteristik usia, jenis kelamin, kondisi kesehatan, tingkat depresi dan faktor lingkungan fisik memiliki hubungan yang signifikan dengan kualitas tidur lansia. Factor yang paling dominan yang berhubungan dengan kualitas tidur adalah umur dengan nilai OR adalah 9,839. Hasil penelitian ini dapat dijadikan acuan dalam menijau ulang kondisi lingkungan tempat tidur lansia. Disamping itu, perlu melakukan skrining untuk mendeteksi tingkat depresi pada lansia serta pengembangan intervensi keperawatan untuk meningkatkan kualitas tidur lansia melalui sleep hygiene, terapi kelompok, dan self help group.
Improvement of Family Care Ability for Elderly with Depression through Psychoeducation Intervention Program Ni Made Riasmini
Jurnal Ilmu dan Teknologi Kesehatan Vol 8 No 1 (2020): September 2020
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v8i1.440

Abstract

The increase in the incidence of depression in the elderly can affect the elderly and their families' quality of life. Depression in the elderly is mostly caused by a lack of knowledge, attitudes, and family behavior caring for the elderly. It has an impact on the increasing cases of older people with depression in the community. To prevent increasing depression cases, it is necessary to empower family potential and social support. This study aims to obtain a description of the Psychoeducation Intervention Program (PIP) on families' ability to care for older people with depression in the community. The research method used is a Quasi-experiment with control group design. The sample is families who have elderly with depression by screening using the Geriatric Depression Scale Short Form (GDS-SF). The number of samples was 68 for the intervention group and 68 for the control group—statistical test using dependent t-test, independent t-test, and Mancova test. The results showed an increase in knowledge, attitudes, and family behavior in caring for the elderly before and after PIP. There were differences in the family's ability to care for the depressed elderly between the intervention and control groups. The resulting psycho-educational intervention program can serve as a basis for policymakers and health service managers to carry out various interventions related to family empowerment.
Group-Based Restorative Care Model For Improving Social Interaction Among Elderly In Nursing Home Ni Made Riasmini
Jurnal Kesehatan Prima Vol 15, No 2 (2021): AUGUST
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v15i2.698

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An increasing proportion of the elderly population should be aware,  because the main manifestation of the aging process experienced by the elderly can reduce ability to work, and  the ability to perform the activity and social interaction with their environment. To overcome this problem, a group-based restorative care model is needed to increase the social interaction among elderly. This study aimed to obtain an overview of the effectiveness of the group-based restorative care model on the social interactions among elderly in nursing homes. The research design used a quasi-experimental with control group design with a sample size of 66 elderly who have been living in nursing home in the DKI Jakarta area. Data analysis used t-test and Mancova test. The results of the study found that there were differences in social interaction before and after the intervention in the intervention group, while in the control group there were no differences; there were differences in social interaction after the intervention between the intervention group and the control group; there was an effect of social support on social interaction. The recommendation is the group-based restorative care model can be used as a model for empowering the elderly in carrying out various activities in various health care settings in the community